Individual
MARK B BUSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4005 167TH ST, COUNTRY CLUB HILLS, IL 60478-2070
(708) 799-0920
(708) 799-6310
Mailing address
4005 167TH ST, COUNTRY CLUB HILLS, IL 60478-2070
(708) 799-0920
(708) 798-1349
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.006948
IL
Other
Enumeration date
02/06/2007
Last updated
03/20/2017
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